Individual provider · Type 1 NPI

Jessica Lee Levasseur, PA-C

Surgical Physician Assistant · Prescott, AZ

NPI number 1669123055 Active

Practice location

1001 Willow Creek Rd Ste 3200
Prescott, AZ 86301-1614

Fax (928) 771-5596

Mailing address

844 Panorama Rdg
Mount Vernon, WA 98273-9140

Other practice locations

  • 1400 E Kincaid St, Mount Vernon, WA 98274-4127 · (360) 428-2586

Specialties and licenses

TaxonomyCodeLicense
Surgical Physician Assistant Primary 363AS0400X11843 (AZ)
Surgical Physician Assistant 363AS0400XPA61263842 (WA)

Surgical Physician Assistant: Definition to come...

2 other providers at this address

Other surgical physician assistant providers in Prescott

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About NPI 1669123055

Jessica Lee Levasseur, PA-C's National Provider Identifier is 1669123055, issued on Jan 17, 2022. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Prescott, AZ. The record was last updated on Jul 9, 2026.